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针刺配合生物反馈治疗出口梗阻型便秘的临床观察 预览 被引量:14

Clinical Observation on the Treatment of Outlet Obstruction Type Constipation by Acupuncture Combined with Biofeedback Method
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摘要 目的:观察针刺配合生物反馈治疗出口梗阻型便秘的疗效,并探讨其机理。方法:选择出口梗阻型便秘患者45例,随机分成两组,治疗组每日以针刺配合生物反馈治疗,对照组每日仅进行生物反馈治疗。两组均5d为1疗程,休息2d后继续第2个疗程,共3个疗程。于治疗前后观察排便次数、大便形状、排便困难程度和进行肛门直肠测压。结果:两组治疗后各项观察指标均有明显改善,包括每周大便次数、大便性状积分增加,及排便困难积分减少(P〈0.05,0.01);两组治疗后比较无显著性差异,治疗结束后1个月两组之间各项指标比较有显著性差异。结论:针刺配合生物反馈治疗可以显著改善出口梗阻型便秘的临床症状.并有较好的远期效果。 Objective: To observe the therapeutic effect of acupuncture combined with biofeedback therapy in the treatmerit of outlet obstruction constipation. Methods: A total of 45 patients with outlet obstruction type constipation were randomly divided into treatment (acupuncture combined with biofeedback therapy) group (n = 25) and control (biofeedback therapy only) group (n =20). In treatment group, bilateral Tianshu (ST 25), Zusanli (ST 36), Shangjuxu (ST 37), Baihui (GV 20), Dachangshu (BL 25) were used as the main acupoints in combination with Hegu (LI 4), Zhongwan (CV 12), etc. Biofeedback therapy was conducted by training the patient to repeatedly make rectal contraction and relax activities for 45 min, once daily. The treatment was given once everyday, with 5 sessions being a therapeutic course, and continuously for 3 courses. The interval between two courses was 2 days. The number of defecation, shape of stool, difficulty degree of defecation, and intra-rectal pressure were observed and detected. Results. Following the treatment, self-comparison of these two groups indicated that the times of defecation/week, scores of stool shape and the mean intra-rectal pressure increased significantly (P〈0.01 ), the score of difficulty degree of defecation lowered considerably ( P〈0.01 ), no significant differences were found between two groups in these indexes ( P 〉0.05). One month after the treatment, the therapeutic effects ( long-term effect) of treatment group were significantly superior to those of control group in raising the times of defecation/week, score of stool shape, and lowering the difficulty degree of defecation and maximum tolerable volume of intra-rectal pressure (P〈0.05). Conclusion: Both acupuncture and biofeedback therapies can better the symptoms of outlet obstruction constipation patients, and the long-term therapeutic effect of acupuncture is markedly superior to that of biofeedback therapy.
作者 潘锋 陈建永 詹程胹 PAN Feng, CHEN Jian-yong, ZHAN Cheng-er (Department of Digestive Diseases, Hangzhou Red Cross Society Hospital, Hangzhou 310003 )
出处 《针刺研究》 CAS CSCD 2006年第5期 294-297,共4页 Acupuncture Research
关键词 出口梗阻型便秘 针刺 生物反馈治疗 Outlet obstruction constipation Acupuncture Biofeedback therapy
作者简介 潘锋(1972-),男,本科学历,主治医师,主要研究方向为中西医结合消化动力障碍性疾病的诊治。
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